Fve Managers, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

FVE MANAGERS, INC.

Doing business as

The Forum at Town Center

Practice address

8607 SE Causey Ave
Happy Valley, OR 97086-7579

Phone

(503) 654-4500

NPI assigned

Mar 21, 2019

Last updated

Apr 10, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

FVE MANAGERS, INC.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jennifer F. Mintzer

Title

President & Chief Operating Officer

Phone

(617) 796-8104

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Forum at Town Center Doing business as

Part of

Fve Managers Inc

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554854400000",
    "number": "1033679618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8607 SE CAUSEY AVE",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970867579",
            "telephone_number": "503-654-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8607 SE CAUSEY AVE",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970867579",
            "telephone_number": "503-654-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FVE MANAGERS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FVE MANAGERS, INC.",
        "enumeration_date": "2019-03-21",
        "last_updated": "2019-04-10",
        "status": "A",
        "authorized_official_last_name": "MINTZER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRESIDENT & CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "617-796-8104"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "527954",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Forum at Town Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Happy Valley, OR
• Providers in Happy Valley, OR by specialty
• Assisted Living Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.